Health Insurance (Section 3C General Medical Services – Menopause and Perimenopause Health Assessment Services) Determination 2025
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9 Schedules
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.
Schedule 1 — Relevant Services
<table cellspacing="0" cellpadding="0" style="width:100%; margin-right:9pt; margin-left:9pt; border-collapse:collapse; float:left"><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Category 1 – Professional Attendances</span></p></td></tr><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A14 — Health Assessments</span></p></td></tr><tr><td style="width:15%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:68.8%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:center"><span>Column 2</span></p><p class="TableHeading" style="text-align:center"><span>Description</span></p></td><td style="width:16.2%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:center"><span>Column 3</span></p><p class="TableHeading" style="text-align:center"><span>Fee ($)</span></p></td></tr><tr><td style="width:15%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="margin-top:0pt"><span>695</span></p></td><td style="width:68.8%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:11.05pt"><span style="font-size:10pt">Menopause and Perimenopause Health Assessment</span></p><p style="line-height:11.05pt"><span style="font-size:10pt"></span></p><p style="line-height:11.05pt"><span style="font-size:10pt">Professional attendance on a patient for the assessment and management of menopause or perimenopause by a general practitioner lasting at least 20 minutes and including, but not limited to:</span></p><p style="line-height:11.05pt"><span style="font-size:10pt"></span></p><ol class="awlist12" style="margin:0pt; padding-left:0pt"><li style="margin-left:36pt; text-indent:-18pt; line-height:11.05pt; font-size:10pt"><span style="width:10.23pt; font:7pt 'Times New Roman'; display:inline-block"></span><span>collecting relevant information, including taking a patient history to determine pre-, peri- or post-menopausal status, patient wellbeing and contraindications for management; and</span></li><li style="margin-left:36pt; text-indent:-18pt; line-height:11.05pt; font-size:10pt"><span style="width:9.67pt; font:7pt 'Times New Roman'; display:inline-block"></span><span>undertaking a basic physical examination, including recording blood pressure, and review of height and weight; and</span></li><li style="margin-left:36pt; text-indent:-18pt; line-height:11.05pt; font-size:10pt"><span style="width:10.23pt; font:7pt 'Times New Roman'; display:inline-block"></span><span>initiating investigations and referrals as clinically indicated, with consideration given to the need for cervical screening, mammography and bone densitometry; and</span></li><li style="margin-left:36pt; text-indent:-18pt; line-height:11.05pt; font-size:10pt"><span style="width:9.67pt; font:7pt 'Times New Roman'; display:inline-block"></span><span>discussing management options including non-pharmacological and pharmacological strategies including risks and benefits;</span></li><li style="margin-left:36pt; text-indent:-18pt; line-height:11.05pt; font-size:10pt"><span style="width:10.23pt; font:7pt 'Times New Roman'; display:inline-block"></span><span>implementing a management plan which includes patient centred symptoms management; and</span></li><li style="margin-left:36pt; text-indent:-18pt; line-height:11.05pt; font-size:10pt"><span style="width:11.34pt; font:7pt 'Times New Roman'; display:inline-block"></span><span>providing the patient with preventative health care advice and information as clinically indicated, including advice on physical activity, smoking cessation, alcohol consumption, nutritional intake and weight management.</span></li></ol><p class="Tabletext" style="margin-top:0pt; line-height:normal"><span></span></p></td><td style="width:16.2%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="margin-top:0pt; text-align:right"><span>101.90</span></p></td></tr></tbody></table>